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viernes, 21 de marzo de 2014

ProCESS

"Today, the New England Journal of Medicine just released a landmark paper by the ProCESS (Protocolized Care for Early Septic Shock) trial investigators. There has already been much buzz about this on various blogs and websites, including St. Emlyn’s, MedPageToday, andMDAware. I received an email from my colleague Dr. Michael Callaham, who shared some direct comments and pearls from Dr. Donald Yealy, (professor and chair of emergency medicine from the University of Pittsburgh Medical Center) who was the first author of this writing team. Thank you to Dr. Yealy for allowing me to share your team’s comments with the ALiEM readership."

"Clinical Takeaway: Protocols don’t improve survival in severe sepsis and septic shock, but especially in the golden early hours, they might still have value as a handy checklist to keep everyone on top of their game. Early antibiotics, adequate fluid resuscitation and vasopressor support are the essential components of care for severe sepsis and septic shock."